Community Needs Survey 2022-2023

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* 3. What is your gender, as you define yourself?

Male

Female

Non-binary

Other (write in how you self-identify if desired)

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* 4. Which most accurately portrays your race? (Please check one)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Other

Multiracial

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* 5. Are you Hispanic/Latino?

Yes

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* 6. What is your household’s yearly income before taxes?

Less than $10,000

$10,000-$14,999

$15,000-$24,999

$25,000-$34,999

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$149,999

$150,000-$199,999

$200,000 or more

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* 7. How many people are in your household including yourself?

0-17 years old

18 years or older

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* 8. How many people in your household are:

Under 5 years old

5-9 years old

10-14 years old

15-19 years old

20-24 years old

25-29 years old

30-34 years old

35-39 years old

40-44 years old

45-49 years old

50-54 years old

55-59 years old

60-64 years old

65-69 years old

70-74 years old

75-79 years old

80-84 years old

85+ years old

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* 9. What is your highest level of education?

Less than 9th grade

Some high school

High school graduate or GED

Some college, no degree

Associate's Degree

Bachelor's Degree

Graduate Degree

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* 10. What is your employment status?

Full time

Part time

Seasonal

Not working, retired

Not working, unemployed

Not working, disabled

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* 11. Do you need transportation to get to:

(Check all that apply)

Work

School

Medical Care

Other (please specify)

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* 12. What transportation is available to you now?

(Check all that apply)

Bus

Family/Friends

I have a car

Taxi

Walk/Bike

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* 13. What's preventing you from getting where you need to go?

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* 14. Are you getting housing assistance? (e.g. Section 8, subsidized housing, RAFT)

Yes

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* 15. How much do you pay each month for your rent or mortgage?

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* 16. Have you been late once or more with your rent or mortgage payment in the last year?

Yes

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* 17. Regarding childcare, check all that apply:

I receive a voucher for daycare/preschool

Family/Friends care for my children

I pay for daycare/preschool for my children

I don't have children under 16

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* 18. Does anyone in your household access mental health or addiction support services? (e.g. Brien Center, ICP, CSO)

Yes

Need services, but cannot find

Need services, but cannot afford

Household member refuses care

On a waiting list

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* 19. What is your health care status?

I am on Mass Health

I am on Medicaid

I am on Medicare

I have private health insurance

I pay for care without insurance

I do not access health care because costs are too high

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* 20. Does anyone in your household access adult basic education services? (e.g. ESOL, HiSet or GED, Adult Basic Education)

Yes

If not, why?

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* 21. Does anyone in your household access adult higher education services? (e.g. college, post-secondary school, professional certifications)

Yes

If not, why?

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* 22. How many adults living in your household are currently employed?

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* 23. To meet my needs:

I have to work a full time job

I have to work more than one full time job

Me and my spouse/partner both have to work full time

I have to work two or more part time jobs

I have to work a part time job

I do not need to work

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* 24. Do you need access to job training to get a job or a better job?

Yes

If you answered yes, what type of training would be most beneficial?

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* 25. In the past 12 months, did you receive any government assistance? (SNAP, TANF, SSI, etc)

Yes

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* 26. Are you living paycheck to paycheck?

Yes

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* 27. At any time during the past year did you have trouble putting food on the table?

Yes

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* 28. Over the past year have you received any services from BCAC?

Yes

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* 29. What is your household's monthly income before taxes?

Include:
Wages, TANF, Social Security, Disability Benefits, etc.

Do not Include:
Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.

Under $2,000/month (or under $24,000/year)

$2,000-$4,000/month (or $24,000-$48,000/year)

$4,001-$6,000/month (or $48,001-$72,000/year)

Over $6,000/month (or over $72,000/year)

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* 30. What is your age?

Under 18

18-24

25-44

45-64

65 and older

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* 31. What do you think are the top needs impacting people in your community?

Please Check ALL that apply!

Child care

After school / summer programs for children and youth

Jobs

English classes

Training or education to get a job or better job

Elder services

Affordable housing

Ability to pay heating or utility bills

Access to food

Health insurance

Mental health services

Drug and alcohol services

Domestic violence services

Safer neighborhood

Transportation

Ability to budget

Legal assistance

Need for clothing

Financial emergencies

Immigration issues

Discrimination issues

Access to technology / internet

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* 32. Compared to before the COVID-19 pandemic, are you and your family better off, worse off, or about the same?

Better off

Worse off

About the same

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* 33. Are you able to pay your bills on time each month?

Yes

Unsure

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* 34. Do you currently have at least $500 set aside for emergencies?

Yes

Unsure

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* 1. Where do you live?

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* 2. What is your age?

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* 3. What is your gender, as you define yourself?

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* 4. Which most accurately portrays your race? (Please check one)

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* 5. Are you Hispanic/Latino?

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* 6. What is your household’s yearly income before taxes?

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* 7. How many people are in your household including yourself?

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* 8. How many people in your household are:

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* 9. What is your highest level of education?

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* 10. What is your employment status?

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* 11. Do you need transportation to get to: (Check all that apply)

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* 12. What transportation is available to you now?(Check all that apply)

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* 13. What's preventing you from getting where you need to go?

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* 14. Are you getting housing assistance? (e.g. Section 8, subsidized housing, RAFT)

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* 15. How much do you pay each month for your rent or mortgage?

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* 16. Have you been late once or more with your rent or mortgage payment in the last year?

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* 17. Regarding childcare, check all that apply:

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* 18. Does anyone in your household access mental health or addiction support services? (e.g. Brien Center, ICP, CSO)

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* 19. What is your health care status?

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* 20. Does anyone in your household access adult basic education services? (e.g. ESOL, HiSet or GED, Adult Basic Education)

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* 21. Does anyone in your household access adult higher education services? (e.g. college, post-secondary school, professional certifications)

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* 22. How many adults living in your household are currently employed?

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* 23. To meet my needs:

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* 24. Do you need access to job training to get a job or a better job?

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* 25. In the past 12 months, did you receive any government assistance? (SNAP, TANF, SSI, etc)

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* 26. Are you living paycheck to paycheck?

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* 27. At any time during the past year did you have trouble putting food on the table?

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* 28. Over the past year have you received any services from BCAC?

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* 29. What is your household's monthly income before taxes?Include: Wages, TANF, Social Security, Disability Benefits, etc. Do not Include: Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.

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* 30. What is your age?

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* 31. What do you think are the top needs impacting people in your community?Please Check ALL that apply!

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* 32. Compared to before the COVID-19 pandemic, are you and your family better off, worse off, or about the same?

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* 33. Are you able to pay your bills on time each month?

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* 34. Do you currently have at least $500 set aside for emergencies?

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* 35. What keeps you or your family from feeling more financially stable? Check ALL that apply:

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* 36. Do you have any other comments, questions, or concerns?

* 11. Do you need transportation to get to:

(Check all that apply)

* 12. What transportation is available to you now?

(Check all that apply)

* 29. What is your household's monthly income before taxes?

Include:
Wages, TANF, Social Security, Disability Benefits, etc.

Do not Include:
Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.

* 31. What do you think are the top needs impacting people in your community?

Please Check ALL that apply!

* 35. What keeps you or your family from feeling more financially stable?

Check ALL that apply: